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GENERAL PERMIT <br />CITY OF ORONO <br />P.O.BOX 66 <br />CRYSTAL BAY, MINNESOTA 55323 <br />(612) 473-7357 <br />CITY PERMIT NO. 7724 <br />Date /- '-ve) —�7 <br />O%tiner_i���1e^�r1�`�l�l"1 ll Address� <br />Contractor +-0do ��I � ��J�. > Address e % % <br />City License No. 7 State License No. <br />R, `BARKS AND SPECIAL CONDITIONS <br />&o /GCS <br />PERMIT TYPE AND FEE <br />Inside Plumbing (#fixtures_) <br />Water Meter (Size—) <br />Meter# <br />Remote -1 <br />❑ NEW ❑ ADDITION <br />Fee S <br />i-ee S <br />Municipal Water Conner tiun Fee <br />❑Copper (— <br />Municipal Sewer Connection Fee S — <br />❑ PVC ❑ Cast El <br />MWCC SAC Charge F > <br />On Site Septic System <br />ACKNOWLEDGEMENT <br />❑ REPAIR <br />ater Well <br />Mechanical Equipment <br />/Lifting Buildings <br />Land Alteration (Excavation, <br />Grading, Filling, etc.) <br />Fire <br />Fee S <br />Fee S <br />Fee S <br />Fee S <br />Fee S i <br />kler System (Fire) Fee S <br />Fee S <br />Fee S lAfter-the-fact Investigation Fee S <br />The undersigned hereby acknowledges receipt of this limited <br />permit, Including acceptance of all special information, <br />terms, conditions or requirements written above. The <br />undersigned understands and agues under penalty of law <br />that this permit is strictly Ilmited In scope to the work, <br />activity or improvement specihrt . that this permit does <br />not Brant any authority to do work or activities requiring <br />separate permit approvals; and that this permit does not <br />grant authority to violate any provision of an City <br />ordinance or State law, rule or regulation. All work shall be <br />done In strict compliance with all City ordinances, building <br />codes and/or health department regulations, and shall be <br />subject to inspection, approval or rejection by the City. <br />Whenever so ordere 1. the undersigned agrees to correct <br />any work found t., be in %iolation of the conditions of <br />this permit. <br />Signat re 'Ap icant <br />loc-L <br />TOTAL <br />State Surcharge: <br />Fee S — -S-0 <br />Total Amount Paid to City Fee $'0- <br />This permit is not valid until the proper fee is paid ai <br />it is approved by an authorized City Official. <br />Signature of City <br />Code: White --File Copy Canary —Inspector's Copy Pink —Finance Copy Gold—Appik-ant's Receipt <br />